EP0340159A1 - Cheville à expansion pour l'ancrage sans ciment d'une prothèse osseuse - Google Patents

Cheville à expansion pour l'ancrage sans ciment d'une prothèse osseuse Download PDF

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Publication number
EP0340159A1
EP0340159A1 EP89810231A EP89810231A EP0340159A1 EP 0340159 A1 EP0340159 A1 EP 0340159A1 EP 89810231 A EP89810231 A EP 89810231A EP 89810231 A EP89810231 A EP 89810231A EP 0340159 A1 EP0340159 A1 EP 0340159A1
Authority
EP
European Patent Office
Prior art keywords
hollow body
toothing
coarse
dowel
plug according
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP89810231A
Other languages
German (de)
English (en)
Other versions
EP0340159B1 (fr
Inventor
Kurt Karpf
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Zimmer GmbH
Original Assignee
Sulzer AG
Allo Pro AG
Gebrueder Sulzer AG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Sulzer AG, Allo Pro AG, Gebrueder Sulzer AG filed Critical Sulzer AG
Priority to AT89810231T priority Critical patent/ATE84692T1/de
Publication of EP0340159A1 publication Critical patent/EP0340159A1/fr
Application granted granted Critical
Publication of EP0340159B1 publication Critical patent/EP0340159B1/fr
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/686—Plugs, i.e. elements forming interface between bone hole and implant or fastener, e.g. screw
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B13/00—Dowels or other devices fastened in walls or the like by inserting them in holes made therein for that purpose
    • F16B13/001—Dowels or other devices fastened in walls or the like by inserting them in holes made therein for that purpose with means for preventing rotation of the dowel
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B13/00—Dowels or other devices fastened in walls or the like by inserting them in holes made therein for that purpose
    • F16B13/12—Separate metal or non-separate or non-metal dowel sleeves fastened by inserting the screw, nail or the like
    • F16B13/124—Separate metal or non-separate or non-metal dowel sleeves fastened by inserting the screw, nail or the like fastened by inserting a threaded element, e.g. screw or bolt
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16—ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16B—DEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B33/00—Features common to bolt and nut
    • F16B33/002—Means for preventing rotation of screw-threaded elements

Definitions

  • the invention relates to an expansion anchor for cement-free anchoring of bone implants, consisting of a hollow body which is open on one side and expandable with the aid of longitudinal slots, and an expansion body which can be driven into the hollow body, the hollow body carrying barb-like, circular toothings on its outer surface.
  • expansion anchors are known, for example, from CH-PS 662 501.
  • the expansion body consists of a pin which can be driven in in the direction of the longitudinal axis and when it is driven in, no torques are exerted on the anchor.
  • screws should be anchored with implant expansion anchors.
  • the object of the invention is therefore to provide an expansion anchor that resists unintentional rotations, for example when screwing in a screw.
  • This object is achieved in that the outer circumference of the hollow body is polygonal in cross-section at least over a partial length of the dowel.
  • the hole for receiving the new dowel is drilled out to a diameter that corresponds to the distance between two opposite sides, so that the edges of the polyline already penetrate into the bone substance.
  • the polygonal shape of the toothing of the hollow body of the dowel inserted into the bore then acts as a rotation lock against unintentional rotation of the dowel.
  • the vertebra With a large number of bones, bone density and bone hardness vary greatly, for example in the case of the vertebra, in which the vertebral arch consists of hard, dense, cortical bone substance and the vertebral body is made of relatively soft and "airy" cancellous material. In a manner known per se, these material differences can be taken into account in the new dowel in that the hollow body has a fine toothing near the closed end of the longitudinal slots, which is followed by coarse toothing towards the open end.
  • the polygon shape additionally causes the bending loads to be transmitted to the bone over a relatively wide area; moreover, this effect of the polygonal shape in the relatively soft cancellous bone tissue can be intensified if the teeth of the coarse toothing have become blunted into axially parallel surfaces.
  • the anchorage of the dowel in the cancellous material can be improved if the axial distance between the teeth of the coarse teeth is greater than their tooth depth.
  • the inner bore of the hollow body is cylindrical in the area of the fine toothing and tapered in the area of the coarse toothing.
  • the hollow body 1 of the expansion dowel according to FIG. 1 for example made of body-compatible plastic, usually made of polyethylene or a metal, has a head 3 enlarged in diameter compared to the core 2, which in addition to the hexagonal outer shape in this case has an internal hexagon 4 for receiving a corresponding one , not shown setting or impact instrument.
  • the hexagonal core 2 continues downwards in fine toothing 5.
  • a coarse toothing 6 adjoins the fine toothing 5 and extends to the free end of the dowel extends. Both the fine toothing 5 and the coarse toothing 6 are also polygonal in the circumferential direction, in the present case again as a hexagon.
  • FIG. 1 is made of body-compatible plastic, usually made of polyethylene or a metal, has a head 3 enlarged in diameter compared to the core 2, which in addition to the hexagonal outer shape in this case has an internal hexagon 4 for receiving a corresponding one , not shown setting or impact instrument.
  • the hexagonal core 2 continues downwards in fine toothing 5.
  • a coarse toothing 6 adjoins the
  • the teeth of the coarse teeth 6 are truncated at their tips to flat axially parallel surfaces 9; these surfaces effect a distribution of the pressures or forces resulting from bending stress over a relatively large area of the soft bone tissue 12, in which the coarse teeth 6 come to rest.
  • the expansion of the hollow body 1 is achieved by longitudinal slots 10 which extend from the free end to the head 3 and of which at least two are generally distributed over the circumference.
  • clamping screws are preferred for this purpose, which have a thread 16 near their head 15 (FIG. 4) over a certain length, to which a thread-free stem 14 connects.
  • the thread 16 is screwed into a thread 17 of the longitudinal bore 18 of the hollow body 11 in order to spread the hollow body 11, which, in contrast to the hollow body 1 of FIG. 1, only has no head with an enlarged diameter.
  • the longitudinal bore 18 is in the area of the thread 17 and in the adjoining part which bears the barb-like fine toothing 5 on the outside cylindrical, while in the area of the coarse toothing 6 it tapers towards the free end.
  • the application of the new expansion plug shown in FIG. 5 shows that the fine toothing 5 extends above all in the hard cortical tissue 13 of the vertebral arch, while the coarse toothing 6 extends into the soft cancellous tissue 12 inside the vertebral body 19.
  • the polygon shape of the cross section is not limited to that of a hexagon; it can also have any other number of edges in the same way.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Engineering & Computer Science (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Mechanical Engineering (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Surgical Instruments (AREA)
  • Dowels (AREA)
  • Materials For Medical Uses (AREA)
EP89810231A 1988-04-27 1989-03-23 Cheville à expansion pour l'ancrage sans ciment d'une prothèse osseuse Expired - Lifetime EP0340159B1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AT89810231T ATE84692T1 (de) 1988-04-27 1989-03-23 Spreizduebel fuer eine zementfreie verankerung von knochenimplantaten.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CH1578/88 1988-04-27
CH1578/88A CH674705A5 (fr) 1988-04-27 1988-04-27

Publications (2)

Publication Number Publication Date
EP0340159A1 true EP0340159A1 (fr) 1989-11-02
EP0340159B1 EP0340159B1 (fr) 1993-01-20

Family

ID=4213693

Family Applications (1)

Application Number Title Priority Date Filing Date
EP89810231A Expired - Lifetime EP0340159B1 (fr) 1988-04-27 1989-03-23 Cheville à expansion pour l'ancrage sans ciment d'une prothèse osseuse

Country Status (5)

Country Link
EP (1) EP0340159B1 (fr)
AT (1) ATE84692T1 (fr)
CH (1) CH674705A5 (fr)
DE (1) DE58903316D1 (fr)
ES (1) ES2038443T3 (fr)

Cited By (96)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0409364A2 (fr) * 1989-07-13 1991-01-23 ARTOS Medizinische Produkte GmbH Elément de jonction pour l'osthéosynthèse
EP0502509A1 (fr) * 1991-03-04 1992-09-09 Liebscher Kunststofftechnik Cheville à os pour fixer des fils
EP0525352A1 (fr) * 1991-07-22 1993-02-03 Synthes AG, Chur Dispositif de fixation résorbable à rigidité contrôlée pour traitement in vivo du corps humain
EP0528573A1 (fr) * 1991-08-08 1993-02-24 Howmedica International Inc. Dispositif de fixation pour attacher un dispositif orthopédique à un os
FR2682587A1 (fr) * 1991-10-21 1993-04-23 Laboureau Jacques Philippe Clou chirurgical ligamentaire et intrumentation ancillaire associee.
EP0567423A1 (fr) * 1992-04-24 1993-10-27 Bilbao Ortiz de Zarate, José Ramon Systèmes transpediculaires de fixation de vertèbres et dispositif pour les mettre en pratique
US5259398A (en) * 1989-10-26 1993-11-09 Giuseppe Vrespa Method for fixing prosthesis to bones
FR2691626A1 (fr) * 1992-05-29 1993-12-03 Asa Laboratoires Prothaid Vis orthopédique autotaraudeuse à expansion.
EP0580998A1 (fr) * 1992-07-25 1994-02-02 Fischerwerke Arthur Fischer GmbH & Co. KG Cheville d'expansion métallique
ES2048100A1 (es) * 1992-04-24 1994-03-01 Bilbao Ortiz De Zarate Perfeccionamientos en los sistemas de fijacion vertebral transpedicular y dispositivo para su practica.
EP0611557A2 (fr) * 1993-02-17 1994-08-24 SMITH & NEPHEW DYONICS INC Implant chirurgical et jeu d'instruments
DE4444510A1 (de) * 1994-11-30 1996-06-05 Guenter Prof Dr Med Lob Befestigungselement für die Osteosynthese
US5643321A (en) * 1994-11-10 1997-07-01 Innovasive Devices Suture anchor assembly and methods
US5649963A (en) * 1994-11-10 1997-07-22 Innovasive Devices, Inc. Suture anchor assembly and methods
AT402885B (de) * 1995-08-22 1997-09-25 Enzendorfer Martin Dr Schraubbefestigung zur fixation von knochenfrakturen od. dgl.
US5725529A (en) * 1990-09-25 1998-03-10 Innovasive Devices, Inc. Bone fastener
US5814071A (en) * 1994-11-10 1998-09-29 Innovasive Devices, Inc. Suture anchor assembly and methods
US5860978A (en) * 1990-09-25 1999-01-19 Innovasive Devices, Inc. Methods and apparatus for preventing migration of sutures through transosseous tunnels
AU704253B2 (en) * 1993-02-17 1999-04-15 Smith & Nephew, Inc. Surgical implant & surgical kit
US5931844A (en) * 1998-03-31 1999-08-03 Smith & Nephew, Inc. Surgical drive tool
US5935149A (en) * 1995-06-07 1999-08-10 Smith & Nephew Inc. Suturing tissue
US5957953A (en) * 1996-02-16 1999-09-28 Smith & Nephew, Inc. Expandable suture anchor
EP0995409A1 (fr) * 1998-08-26 2000-04-26 Howmedica GmbH Dispositif de fixation d'un ligament critique dans des parties d'articulation du genou
US6086608A (en) * 1996-02-22 2000-07-11 Smith & Nephew, Inc. Suture collet
US6527794B1 (en) 1999-08-10 2003-03-04 Ethicon, Inc. Self-locking suture anchor
US6616694B1 (en) 1996-11-21 2003-09-09 Ethicon, Inc. Apparatus for anchoring autologous or artificial tendon grafts in bone
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DE10308338A1 (de) * 2003-02-27 2004-09-16 Gausepohl, Thomas, Dr. Knochendübel
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DE19621801B4 (de) * 1995-05-30 2005-07-21 Pentax Corp. Verankerungselement
EP1568329A1 (fr) * 2004-02-24 2005-08-31 Biedermann Motech GmbH Elément d'ancrage osseux
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US8496705B2 (en) 1996-11-21 2013-07-30 DePuy Mitek, LLCR Method of anchoring autologous or artificial tendon grafts in bone
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US8945232B2 (en) 2012-12-31 2015-02-03 Wright Medical Technology, Inc. Ball and socket implants for correction of hammer toes and claw toes
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Cited By (181)

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ATE84692T1 (de) 1993-02-15
EP0340159B1 (fr) 1993-01-20
CH674705A5 (fr) 1990-07-13
ES2038443T3 (es) 1993-07-16
DE58903316D1 (de) 1993-03-04

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